Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical Director, Hospital Administration, and the Medical Staff Team by coordinating the activities of the organized medical staff. This includes all aspects of the services provided including accreditation compliance, credentials verification, medical staff committee support, and maintenance of medical staff policies, procedures and bylaw development.

Shift and Status

• Full Time, non-exempt position
• Monday – Friday
• No weekends
• No Holidays
• Competitive pay and benefits package including vacation and sick time, health, dental and vision as well as a pension and retirement plan

Position Summary

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all licensed clinical staff members who provide patient care. Responsible for ensuring providers are credentialed, appointed and privileged with health plans, hospitals and patient care facilities. Maintain up to date information for each provider in credentialing databases and online systems and ensure timely renewal of licenses and certification.

Duties and Responsibilities

• Compiles and maintains current and accurate data for all providers.
• Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed.
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
• Maintains corporate provider contract files.
• Maintains knowledge of current health plan and agency requirements for credentialing providers.
• Sets up and maintains provider information in online credentialing databases and system.
• Tracks license and certification expirations for all providers to ensure timely renewals.
• Ensures practice addresses are current with health plans, agencies and other entities.
• Audits health plan directories for current and accurate provider information.
• Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs. Applies for NPI numbers for new providers, provides NPI numbers to physician offices and insurance carriers as requested. Enrolls new and updates existing providers in CAQH (on-line clearing house) according to guidelines.
• Initiates malpractice coverage application process for new providers.
• Coordinates with Accounts payable to ensure fees and premium payments are submitted for licenses, DEA certificates and malpractice coverage.
• Monitors and maintains database of all Continuing Medical Education credits obtained or programs attended by clinical staff, records additional certification earned by providers.
• Maintains confidentiality of provider information.
• Provides credentialing and privileging verification.

Requirements and Qualifications

• Associates Degree or Certified Provider Credentialing Specialist (CPCS).
• A minimum of 2-3 Years Credentialing experience is preferred.
• Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience.
• Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers.
• Understanding of Malpractice insurance coverages and policies.
• Knowledge and understanding of credentialing process.
• Ability to organize and prioritize work and manage multiply priorities.
• Ability to research and analyze data.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
• Proficient use of Microsoft Office, Work, Excel and Access

Physical Demands

• Position requires manual and finger dexterity and hand-eye coordination.
• Involves standing, sitting, and walking.
• Team member will occasionally be asked to lift and carry items weighing up to 10 pounds.

Benefits and Perks

• We offer an outstanding team-oriented environment, challenging and rewarding careers, and valuable benefits to our employees.
• Be a part of an experienced team: We are a family-oriented facility with many of our employees with us for 10, 20 or more years!
• Work in a highly-respected organization that is committed to quality patient care!
• Flexible scheduling that works around your school schedule.
• Competitive wages, superior pension and retirement plan with employer contributions.
• Shift differential for working evening and night shift.
• Excellent vacation, holiday and sick leave package.
• Tuition assistance to provide opportunities for career growth.
• Independent health insurance, dental, vision and no-cost life insurance.
• Free parking, safe and quiet country setting in Medina along the historic Erie Canal!
• The satisfaction of knowing you’re making a difference in someone’s life every day

About Us

Orleans Community Health is comprised of Medina Memorial Hospital, (a designated Critical Access Hospital), Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and Community Partners Wellness Center. We are always looking for positive, dependable, caring individuals to join our team!

Our Mission

To improve the health of the communities we serve by providing equal access to quality health care services at the right time, in the right place, with the most efficient use of resources.

Job Type: Full-time

Pay: $24.00 - $34.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Free parking
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $24 - $34